MEDICARE: REFOCUS COUNSELING, PLLC

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	101YP2500X	Professional Counselor

General Provider Information

NPI Number	:	1649167172
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	REFOCUS COUNSELING, PLLC

Provider Business Mailing Address
First Line	:	3030 S COLLEGE AVE UNIT 207
Second Line	:
City	:	FORT COLLINS
State	:	CO
Zip	:	80525-2557
Country	:	US
Telephone Number	:	970-670-9979
Fax Number	:

Provider Business Practice Location Address
First Line	:	4025 AUTOMATION WAY UNIT D4
Second Line	:
City	:	FORT COLLINS
State	:	CO
Zip	:	80525-3448
Country	:	US
Telephone Number	:	970-670-9979
Fax Number	:

Authorized Official
Title or Position	:	OWNER/THERAPIST
Name	:	DAVID KEYES
Credential	:	MA, LPC
Telephone Number	:	970-670-9979

Provider Enumeration Date	:	06/18/2025
Last Update Date	:	11/12/2025

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